OMAR FAROOQ AHMED DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078765

License Status

CANCELLED

Business

Title

First Name

OMAR

Middle

FAROOQ

Last Name

AHMED

Business Name

OMAR FAROOQ AHMED DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/26/2021